Eric Ikaika Aki, L.M.T.
Individual provider Active NPI Massage Therapist · Gresham, OR
NPI 1588930986 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1588930986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18713 (OR)
- Practice address
- 941 NE Hogan Dr
Gresham, OR 97030-5814 - Phone
- (808) 651-6692
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18713 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18713 | OR | Yes |
Addresses
Primary practice location
941 NE Hogan Dr
Gresham, OR 97030-5814
Mailing address
1615 SW Morrison St
Apt 108
Portland, OR 97205-1850
Phone (808) 651-6692
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.